Intensive Care Medicine

, Volume 44, Issue 12, pp 2315–2318 | Cite as

The 10 signs telling me that my cancer patient in the emergency department is at high risk of becoming critically ill

  • Olivier PeyronyEmail author
  • Nathan I. Shapiro

Dear Editor,

One of the major goals for emergency physician is to identify patients with early physiologic disorders who are at high risk of becoming critically ill in the next few hours. This difficult challenge is fundamental in order to avoid misdirection after emergency department (ED) admission that could result in a lack of surveillance and contribute to increased morbidity and mortality. Immunocompromised patients, and particularly patients with malignancies, are by nature at high risk of early complications. The purpose of this paper is to point out ten warning indicators and caveats that a physician might take into account in order to prevent unexpected worsening of immunocompromised patients. In this article, we will focus on patients with malignancy and identify bundles of indicators, rather than specific signs, that are more easily generalized to other immunocompromised patients (Table  1).
Table 1

Ten important tips to manage cancer patients in the emergency department



Compliance with ethical standards

Conflicts of interest

OP and NS report no conflict of interest.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature and ESICM 2018

Authors and Affiliations

  1. 1.Emergency DepartmentHôpital Saint-LouisParisFrance
  2. 2.Department of Emergency MedicineBeth Israel Deaconess Medical CenterBostonUSA

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